Fratello, Sue Ann
Fratello, Sue Ann is an sole proprietor health care provider with primary practice located at 373 Main St , Center Moriches NY 11934-3510. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fratello, Sue Ann can be contacted via phone (631) 905-6884.Contact Information
Primary practice address
373 Main St
Center Moriches NY 11934-3510
Phone: (631) 905-6884
Fax: (631) 909-2629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 004452 | New York |
Profile Details
| NPI number | 1518319920 |
|---|---|
| LBN Legal business name | Fratello, Sue Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2016 |
| Last updated | Jul 8th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518319920 | NPPES |
| New York | Other | 711LG1 | EMPIRE BLUE CROSS |
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